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évaluation du niveau de satisfaction des membres de la mutuelle de santé Kingo La Afya sur les services offerts.

( Télécharger le fichier original )
par Minda Michaelle
université libre des pays des grands lacs ( ULPGL/Goma) - Licence 2016
  

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EXECUTIVE SUMMARY

This work is about the level of satisfaction of the members of the mutual Kingo la Afya on the services offered. It would like to answer the 3 questions specific to:

1. What is the level of satisfaction of the members of the mutual health insurance scheme the mutual KINGO LA AFYA regarding financial requirements?

2 What is the satisfaction level, members of the mutual health insurance scheme the mutual KINGO LA AFYA regarding the quality of care?

3 What is the satisfaction level, members of the mutual health insurance scheme the mutual KINGO LA AFYA regarding the provision of services?

The study proposed to achieve the main objective of:

-          Evaluate the level of satisfaction of the members of the mutual Kingo LA Afya on the services offered.

Specifically, the study tends to:

-          Evaluate the level of satisfaction, from the point of view financial requirements, members of the mutual KINGO la AFYA,.

-          Evaluate the level of satisfaction on the quality of care, members of the mutual KINGO LA AFYA,

-          Evaluate the level of satisfaction on the services, members of the mho KINGO LA AFYA.

To achieve these objectives, three assumptions have been made in the following way:

1. The amount of affordable membership, the amount of contribution per person or per family affordable, affordable co-payments, and frequency of quarterly contribution would be the level of satisfaction of the members of the mho KINGO the AFYA on financial requirements.

2 Drugs effective and available, qualified staff, the good reception of the sick would be the level of satisfaction of the members of the mho KINGO the AFYA on the quality of care.

3 Health facilities regarding standards and the package of acceptable activities the timeout within the structure would be the level of satisfaction of the members of the mho KINGO the AFYA on the provision of services

Order to confirm the hypothesis, a survey was conducted among 217 members randomly. A questionnaire was administered to them, and the data were analyzed by SPSS software before the report is entered in Microsoft Word. After investigation, the main results were the following:

The study reports that the majority of respondents are men, or 62.2%. and 37.3% of women. The majority of respondents have the age varying between 30 and 49 years old,

Most of the respondents are married or 68.7% and 31.3% are single. The size of household respondents, is 3 to 6 people for 52.5%, one to 2 people for 46.5% and from 7 to 10 people for 9% of respondents.

64.5% of respondents have joined the mutual in 2015, 27.6% in 2014 and 7.9% in 2016. Their monthly income is less than $ 100 for 51.7% of respondents, between $ 100 and $ 300 for 40%, and between $ 300 and $ 500 to 8.3%.

With respect to the satisfaction of the members of the mho Kingo Afya on financial requirements, this study reports that the majority of respondents is 69.1% affordable judge the amount relating to the membership and only 30.9 percent, there is little affordable.

All of the respondents who feel little affordable membership amount have an average level of satisfaction, more than half of those who judge the amount of affordable are moderately satisfied. and less than half are satisfied at the high level

72.8% of respondents are satisfied with the amount of contribution, against 27.2% who are not.

For some, or 47.5%, consider the amount of affordable, others (52,5%) find that they have a salary that allows them to pay without difficulty.

all of those who are not satisfied with the amount of contribution are not at a medium level. more than half of those who are satisfied are at the medium level, and almost half are at the high level.

 

Then, 62.7 percent of respondents say be happy with co-payments. And 37.3%, say that they are not. Indeed, of the satisfied respondents say they are because the amount is minimal compared to the amount they would have paid for themselves to the structure

Among those who are satisfied, the half is moderately, almost half is at a high level. All of the respondents who are not satisfied are not moderately

The study reports that 100% of the members say they are satisfied with the periodicity of contributions paid to the mutual health insurance scheme. Indeed, members have testified that this recurrence allows them to collect the amount to pour it in a single coup.il sometimes they even forget that they have already paid.

In what concerns the satisfaction of members of the mutual health insurance scheme Kingo Afya on the quality of care, the study reports that 63.6 percent of the respondents do not appreciate offered drugs, because they say, they are less effective but available. Moreover, 36.4% acknowledge that these drugs are very effective but unavailable.

Among respondents who say that drugs are less effective but available, more than half are unhappy at a low level, almost half are not at a medium level. On the other hand, all those who say that available drugs are very effective but unavailable are satisfied at a high level.

                    95.4% of respondents say that they are not insured by the structure in case of care requiring the pharmaceutical specialties. However 4.6% say they are.

Subsequently, 61.8% of our respondents do not have confidence in the skills of care providers where they treated against 38.2%.

In terms of the agreement between the structure and the mutual health insurance scheme, 63.1% of respondents find that healthcare providers do not respect the agreements taken with mutual health insurance, on the other hand, 36.9 percent of respondents think they respect them.

Then, 92.6% of respondents not not recognize to be satisfied with the quality of the services that their are offered by the staff of health (care, examinations). However 7.4% recognize be satisfied.

Compared to the reception in health facilities, 69.1 percent of the respondents are not satisfied. However 30.9% show be satisfied.

Among those here who believe that hospitality by the staff health center is not excellent, more than half of the respondents are satisfied at a low level, less than half at a high level and a large minority to a medium level

Indeed, 61.8% of the respondents say that they are treated in the same way as non members. However 38.2% contradict.

Speaking of the satisfaction of the members of the mho Kingo Afya on benefits services, 62.7% of respondents say that they choose not only the health structure in which they would like to be treated. But 37.3% choose it only. In addition, 67.7% acknowledge that the structure where they cared for meets performance standards. However 37.3% do not recognize.

Among those who do not choose only the sanitary structure, half is moderately satisfied, almost half is satisfied at a high level and for those who choose only the structure, all is satisfied at a low level.

When it comes to activities organized at the level of the structures, 30.9 percent of respondents highlight structure organizes laboratory tests. Then, 37, 3% point to internal medicine. Also, 30.9% report the consultation. Finally, 0.9%, counseling.

In the case of services not offered by the structure, 68.2% testify that they do nothing. 31.8% say that they are transferred by the structure.

Subsequently, 38.2% respondents found that the services offered by structure are satisfactory. And 30.9% find that they are mediocre. Finally 30.9% unsatisfactory.

68.2% of respondents say that their household has used the services of the mho between 2 and 5 times. Then 30.9% between 5 and 10 times. Finally, 0.9%, 1 time. High frequency is between 2 to 5 times.

For those who use the services of the mutual 1 time, all is moderately satisfied. for those between 2 and 5 times, more than half is satisfied at a low level and less than half at an average level. Those between the interval of 5 and 10, all is satisfied at a high level

 99.1% of respondents say that the wait time to receive a service is long. However 0.9% say that it is not.

Among those here who think that the wait time to receive a service is long, less than half of respondents, are satisfied at a low level, less than half again at a medium level, and another at a high level. Among those who think that the wait time to receive a service not long, all is moderately satisfied.

Expectations of the respondents to the services offered by the mutual level of structures, 37.3% of respondents would like to health structures to accelerate their speed in the administration of the patient care; then 31.8% wish they provide for pharmaceutical specialities and a trained personnel; and finally, 30.9% would they add specialized services.

Subsequently, 53.0% of respondents do not recognize that the mho has managed to deal with their health. However 47.0% who recognize. Indeed, 55.8% of respondents show that they are satisfied with the follow-up done by the mutual respect their health problem. However 44.2% of respondents are not.

Regarding the improvements essential to mutual health Kingo Afya, 37.3% of our respondents would like the mutual strengthening the follow-up of patients. Then 30.9% would like that there is pharmaceutical specialties and the presence of specialists. About 30.9%, the mutual will insert other services. And finally 0.9% think that the mutual will have to improve the quality of care, train its own medical staff, looking to build its own structures.

In general, 64.5% of respondents are moderately satisfied with the services offered by the mho KINGO the AFIA. Suite 30.4% surveys have a high level. Finally 5.1% have a low level.

As a recommendation, it was suggested the following:

·         The national and provincial health department

-          Financially strengthen mutual health KINGO the AFYA

-          To see mutual reports to analyze its operation and reassure themselves that it pursues its objectives.

·         To the mutual health KINGO the AFYA

-     Of make a plea to the political authorities to find financing to build its own facilities.

-     To make a plea to the non-governmental organizations health so that these strengthen the contractual structures in pharmaceutical specialties.

-     Allocate resources to hire some specialists at the level of the contract hospitals.

-     Add other important services and support chronic diseases such as HIV/AIDS.

-     Broadcast messages to appeal to the membership of the population of the city of Goma.

-     Of the mutual members the privilege of treatment in any structure.

·         To contractual health facilities

-          Improve the quality of care.

-          Continually train its workers.

-          Speed up the speed in the services.

·         Members of the mutual KINGO the AFYA

-          Sensitize non members on the importance of affiliating to a mutual health insurance scheme.

-         Moderate the frequency of use of health services.

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